Organization
LAS CLINICAS DEL NORTE INCORPORATED
Active
Parent organization
LAS CLINICAS DEL NORTE INCORPORATED
Other names
Mesa Vista School Based Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAS CLINICAS DEL NORTE INCORPORATED
Authorized official
MR. ANDY R LOPEZ (CEO)
(575) 581-4728
Entity
Organization
Contact information
Practice address
HWY 285 JUNCTION 111, OJO CALIENTE, NM 87549
(505) 583-2401
(575) 581-0030
Mailing address
PO BOX 237, 571 ST RD BLDG 28, EL RITO, NM 87530-0237
(575) 581-4728
(575) 581-0030
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69222070
—
NM
Enumeration date
02/19/2008
Last updated
03/24/2016
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